Please fill in the details below and email to Oscarchanjob(AT)yahoo.com.my, thanks.

Name:
IC:
Contact:
Occupation & Industry:
Personal Income:
Household Income:
Education Level:
Marital Status:
Kid(s)’ Age if Any:
Which One You Consume, UHT or Pasterized Milk:
Brand & Variant Consume:
Frequency of Consume It (Eg, once a week, once a month…):
Where Do You Purchase the Milk Normally:
Group: